Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $69.18 / $75.86	Facility		$25.70	$69.18	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $100.00	Professional		$28.84	$50.12	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $104.71	Professional		$48.98	$60.26	$104.71
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $63.10 / $75.86	Professional	25	$48.98	$63.10	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $69.18	Professional		$35.48	$46.77	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $53.70 / $79.43	Facility		$36.31	$53.70	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $91.20	Professional		$58.88	$58.88	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $117.49	Professional		$33.88	$54.95	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $125.89	Professional		$44.67	$67.61	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $97.72	Professional		$32.36	$45.71	$97.72